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Florida rates for HCPCS L8687

Implantable neurostimulator pulse generator, dual array, rechargeable, includes extension

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $5,011.87 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,466.84 / $5,623.41 / $10,964.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $7,585.78 / $13,182.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,456.54 / $6,456.54 / $7,585.78
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,677.35 / $7,762.47 / $13,803.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $50.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,918.31 / $8,709.64 / $14,125.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,011.87 / $5,754.40 / $13,803.84
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,220.18 / $11,220.18 / $11,220.18